Healthcare Provider Details

I. General information

NPI: 1184915423
Provider Name (Legal Business Name): HARRIS HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2011
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8050 BECKETT CENTER DR STE 128
WEST CHESTER OH
45069-5020
US

IV. Provider business mailing address

PO BOX 871
WEST CHESTER OH
45071-0871
US

V. Phone/Fax

Practice location:
  • Phone: 937-637-1997
  • Fax: 937-200-1119
Mailing address:
  • Phone: 513-275-9950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KAREN HARRIS
Title or Position: CNP, PMHNP-BC
Credential: DNP
Phone: 513-275-9950